PRIORH0268R1578A01341 PRINTER'SBIL:CMD 05/13/19 #90 A01341 AMENDMENTS TO HOUSE RESOLUTION NO.

1578268 PRINTER'SSponsor: NO.

1817REPRESENTATIVE THESCHLOSSBERG GENERALPrinter's ASSEMBLY OF PENNSYLVANIA HOUSE RESOLUTION Session of No.

2681578 2019Amend INTRODUCEDResolution, BYpage STRUZZI,2, HOHENSTEIN,line ULLMAN,17, SCHLOSSBERG,by MERSKI,inserting JOHNSON-HARRELLafter AND"system" GILLEN,and APRILproviders 29,Amend 2019Resolution, ASpage REPORTED2, FROMlines COMMITTEE20 ONthrough HEALTH,23, HOUSEby OFstriking REPRESENTATIVES,out AS"is AMENDED,the MAYholding 14,of" 2019in Aline RESOLUTION20, Dirimpactall of thislines Commonwealth's21 currentand behavioral22 healthand needs"transferred to an inpatient unit" in line 23 and behavioralinserting healthencompasses carethe systemtime capacityperiod onin a hospital emergency departmentsdepartment after medical stabilization of a patient in need of psychiatric care and prior to the admission or transfer of that patient health.to an inpatient psychiatric bed Amend Resolution, page 3, lines 11 through 30;

WHEREAS,page This4, Commonwealthlines is1 thethrough fifth7; most populous state in the United States with diverse demographics and ever-changing health care needs;

andby WHEREAS,striking Approximatelyout 47.2%all of adultslines receive11 behavioralthrough health30 serviceson andpage 41.9%3, all of childrenlines receive1 behavioralthrough health6 services;and "(17) Any" in line 7 on page 4 and inserting (4) A representative recommended by the Department of Health.

and(5) WHEREAS,A Thisrepresentative Commonwealthof maintains a world-classrural healthhospital carerecommended systemby dedicatedthe toHospital removingand barriersHealthsystem betweenAssociation behavioralof healthPennsylvania. and physical health;

and(6) WHEREAS,A Patientsrepresentative experiencingof behavioralan healthurban issueshospital arerecommended notby well-servedthe duringHospital longand staysHealthsystem inAssociation hospitalof emergencyPennsylvania. departments;

and(7) WHEREAS,A Hospitalrepresentative emergencyof departmentsa aresuburban unablehospital torecommended findby timelythe Hospital and appropriateHealthsystem placementsAssociation for individuals in need of behavioralPennsylvania. health services;

and(8) WHEREAS,A Prolongedrepresentative andrecommended unnecessaryby hospital stays can have a range of effects, including an increased dependency, a loss of a patient's confidence in the patient'sPennsylvania abilityCollege to cope and an increased likelihood of long-termEmergency institutionalization;Physicians.

therefore(9) beA itrepresentative RESOLVED,recommended Thatby the HousePennsylvania ofMedical RepresentativesSociety. direct the Joint State Government Commission to study the impact of this Commonwealth's current behavioral health care treatment needs and behavioral health care system capacity on this Commonwealth's hospital emergency departments;

and(10) beA itrepresentative further RESOLVED, That the Joint State Government Commission study the impact of thisa Commonwealth's current behavioral health caremanaged treatment needs and behavioral health care systemorganization. capacity on patient health;

and(11) beA itphysician furtherwho RESOLVED,is Thata themember Jointof State Government Commission study how current Federal and State laws and regulations impact the abilityPennsylvania ofPsychiatric thisSociety. Commonwealth's health care system AND PROVIDERS <-- to treat behavioral health and physical health issues;

and(12) beA itphysician furtherrecommended RESOLVED,by That the JointPennsylvania StateSociety Government Commission study the prevalence of psychiatricAddiction boarding,Medicine. which is the holding of <-- patients in hospital emergency departments for more than a 24- hour period after a patient has been admitted but not physically transferred to an inpatient unit ENCOMPASSES THE TIME PERIOD IN <-- A HOSPITAL EMERGENCY DEPARTMENT AFTER MEDICAL STABILIZATION OF A PATIENT IN NEED OF PSYCHIATRIC CARE AND PRIOR TO THE ADMISSION OR TRANSFER OF THAT PATIENT TO AN INPATIENT PSYCHIATRIC BED;

and2019/90BIL/HR0268A01341 be it further RESOLVED, That the Joint State Government Commission study 20190HR0268PN1817 - 21 - this(13) Commonwealth'sA currentrepresentative behavioralrecommended healthby carethe treatmentDrug needsand toAlcohol determineService theProviders impactOrganization of psychiatricPennsylvania. boarding on this Commonwealth's behavioral health care system and patients;

and(14) beA itrepresentative furtherrecommended RESOLVED,by That the studyPennsylvania includeRecovery recommendationsOrganizations toAlliance. ensure that this Commonwealth's health care providers are able to adequately treat patients with co-occurring behavioral health and physical health issues;

and(15) beA itrepresentative furtherrecommended RESOLVED,by That the JointPennsylvania StateAssociation Governmentof CommissionCounty establishDrug anand advisoryAlcohol committeeAdministrators. comprised of, but not limited to, all of the following individuals:

(1)(16) A representative recommended by the DepartmentPennsylvania oforganization Drugfor andthe AlcoholNational Programs.Alliance on Mental Illness.

(2)(17) A representative recommended by the DepartmentPennsylvania Association of HumanCounty Administrators of Mental Health and Developmental Services.

(3)(18) A physicianrepresentative recommended by the DepartmentRehabilitation ofand Health.Community Providers Association.

(4)(19) A representative of a rural hospital recommended by <-- the HospitalPennsylvania andPsychiatric HealthsystemLeadership AssociationCouncil. of Pennsylvania.

(5)(20) A representative of an urban hospital recommended by the HospitalPennsylvania andMental HealthsystemHealth AssociationConsumers' ofAssociation. Pennsylvania.

(6)(21) A representative of a suburban hospital recommended by the HospitalPennsylvania andState HealthsystemNurses AssociationAssociation. of Pennsylvania.

(7)(22) A representative recommended by the Pennsylvania CollegeOsteopathic ofMedical EmergencyAssociation. Physicians.

(8)(23) AAny representativeAmend recommendedResolution, page 4, line 12, by inserting after "recommendations" within 12 months of the Pennsylvaniapassage Medicalof Society.this resolution 2019/90BIL/HR0268A01341 - 2 -

(9) A physician who is a member of the Pennsylvania Psychiatric Society.

(10) A representative recommended by the Drug and Alcohol Service Providers Organization of Pennsylvania.

20190HR0268PN1817 - 3 - (11) A representative recommended by the Pennsylvania Recovery Organizations Alliance.

(12) A representative recommended by the Pennsylvania organization for the National Alliance on Mental Illness.

(13) A representative recommended by the Rehabilitation and Community Providers Association.

(14) A representative recommended by the Pennsylvania Psychiatric Leadership Council.

(15) A representative recommended by the Pennsylvania State Nurses Association.

(16) A representative recommended by the Pennsylvania Osteopathic Medical Association.

(17) Any (4) A REPRESENTATIVE RECOMMENDED BY THE DEPARTMENT OF <-- HEALTH.

(5) A REPRESENTATIVE OF A RURAL HOSPITAL RECOMMENDED BY THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA.

(6) A REPRESENTATIVE OF AN URBAN HOSPITAL RECOMMENDED BY THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA.

(7) A REPRESENTATIVE OF A SUBURBAN HOSPITAL RECOMMENDED BY THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA.

(8) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA COLLEGE OF EMERGENCY PHYSICIANS.

(9) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA MEDICAL SOCIETY.

(10) A REPRESENTATIVE OF A BEHAVIORAL HEALTH MANAGED CARE ORGANIZATION.